• Estevan A Garcia, Antonios Likourezos, Joon Choi, Trissy Chun, Janice Yang, and Wei Liu.
• Department of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY 11209, USA. egarcia@maimonidesmed.org
• Pediatr Emerg Care. 2010 Nov 1; 26 (11): 814816814-6.

AbstractA limited number of publications have addressed the health care needs of Chinese American children of recently immigrated parents. We administered a Chinese-language survey to parents presenting to an urban pediatric emergency department (PED) in New York City and at community venues. The survey assessed demographics, access to health care, and utilization/expectations of the PED. Emergency Severity Index scores were recorded for emergency department patients. Three hundred fifteen families (54% in the PED) completed the survey. Of those completed in the PED, 79% sought emergency services because of pediatric referral or because their pediatrician's office was closed. Of our sickest patients with an Emergency Severity Index score of 3 or less, 28% of parents felt that the child was somewhat sick or not sick at all. Although the majority of our Chinese American families utilize the emergency department appropriately, 28% of the parents of our sickest patients did not appreciate the degree of illness of their children.

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